Spearhead Health Centers, LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SPEARHEAD HEALTH CENTERS, LLC.

Practice address

11704 Wilshire Blvd Ste 226
Los Angeles, CA 90025-1504

Phone

(310) 494-7356

NPI assigned

Oct 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Gartrell, CADC

Title

Ceo

Phone

(919) 903-4941

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1467051672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15516 W SUNSET BLVD APT 202",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723542",
            "telephone_number": "919-903-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 WILSHIRE BLVD STE 226",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251504",
            "telephone_number": "310-494-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARHEAD HEALTH CENTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "GARTRELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-903-4941",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Jessica Spartz
• Naomi Spatz
• Taylor John Spaur, LMT
• Eleanor L Spaziano, LCSW
• Douglas W Spear, PT
• Spearman Chiropractic Professional Corporation
• Daisy Lee Spearman, OD
• Michael S Spearman, D.C.
• Donna Spears Robbins
• Zoe Mahealani Spears-Takakuwa, LMFT

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.